心理干预在肺癌患者术后疼痛护理中的应用效果观察

Observation of application effect of psychological intervention in postoperative pain nursing of patients with lung cancer

目的探讨心理干预对肺癌患者术后疼痛的影响效果。方法选取2018年4月至2019年4月于本院行肺癌根治术治疗的肺癌患者67例作为研究对象,按照临床护理方法分为心理干预组(n=37)与常规护理组(n=30),常规护理组患者行常规护理干预,心理干预组患者在常规护理干预基础上加以心理干预。使用长海痛尺比较两组患者护理后疼痛程度评分、使用焦虑特质量表(STAI)、抑郁自评量表(SDS)及简明心境状态测试量表(POMS)对两组患者护理后心理情绪情况进行评估。结果两组患者干预后STAI、SDS评分较干预前均有所改善(P<0.05),且心理干预组患者干预后STAI、SDS评分优于常规护理组(P<0.05)。两组患者干预后疼痛评分较干预前均有所改善(P<0.05),且心理干预组患者优于常规护理组(P<0.05)。干预后,常规护理组紧张、抑郁、慌乱评分较治疗前有所改善(P<0.05),心理干预组干预后各维度较治疗前有所改善(P<0.05),心理干预组各维度评分均优于常规护理组(P<0.05)。结论心理干预对于肺癌患者负性心理情绪存在疏导改善效果,对疼痛具有显著缓解作用,具有临床应用价值。

Objective To probe into the influence and effect of psychological intervention on postoperative pain of lung cancer patients.Methods 67 cases of patients with lung cancer and who treated with radical resection of lung cancer in our hospital from April 2018 to April 2019 were selected as the clinical research objects,and the patients were divided into the psychological intervention group(n=37)and the routine nursing group(n=30)according to clinical nursing methods.The routine nursing group were underwent the routine nursing,and the psychological intervention group received psychological intervention on the basis of routine nursing intervention.Then,the pain scores after nursing of two groups were compared by the Changhai pain ruler,and the psychological and emotional state of patients after nursing were evaluated by the Anxiety Inventory(STAI),Self rating Depression Scale(SDS)and Brief mood state scale(POMS).Results The scores of STAI and SDS of two groups were improved after intervention(P<0.05),and the scores of STAI and SDS in the psychological intervention group were better than those in the routine nursing group(P<0.05).The pain scores of two groups were improved after intervention(P<0.05),and the psychological intervention group was better than the conventional nursing group(P<0.05).The scores of psychological intervention group were better than those of routine nursing intervention group(P<0.05).Conclusion The psychological intervention for lung cancer patients with negative psychological mood has the effect of dredging and improving,and it has significant role in pain relief,thus it has application value.